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晚期舌癌的治疗方法仍存在争议。保留喉的全舌切除术被认为是目前行之有效的方法。对12例保留喉的舌全切患者进行回顾分析,评估可行的重建技术、术后功能和生存率。结果:1年总生存率(OS)和无瘤生存率(DFS)分别为58.3%和33.3%,3年的OS和DFS均降至25%。10例患者接受永久胃造口术,50%的患者发音清晰度满意,剩余50%患者受到严重影响。结论:对于未侵犯到声门上的晚期舌癌,保留喉的全舌切除术与全舌全喉切除术治疗效果相似,喉的功能得到了更好的保护。但是,胃造口术的
Treatment of advanced tongue cancer is still controversial. Total laryngectomy is considered to be an effective method at present. Twelve patients with preserved laryngeal tongue resections were retrospectively analyzed to assess possible reconstruction techniques, postoperative function, and survival. Results: The 1-year OS and DFS were 58.3% and 33.3%, respectively, and the 3-year OS and DFS decreased to 25%. Ten patients underwent a permanent gastrostomy. Fifty percent of patients were satisfied with their articulation and the remaining 50% were severely affected. CONCLUSIONS: The preservation of laryngectomy with total laryngectomy resembles total laryngectomy for advanced tongue cancers that do not violate glottis, and laryngeal function is better protected. However, gastrostomy